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Home My WebLink About2011-01520 - sewer connection � � CITY OF ORONO PERMIT NO.: 20��-o�s2o 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 15 MYRTLEWOOD RD PIN : 36-118-23-33-0013 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 002 PERMIT TYPE : SEWER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CONNECTION NOTE: SAC PAID ON PERMIT 2011-01519$2230.00 PD BY HOMEOWNER APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 AMERICAN MECHANICAL CO,INC. STATE SURCHARGE SEWER&WATER 5.00 7120 71ST AVE.N. TOTAL 55.00 PO BOX 205 LORETTO,MN 55357- (612)750-0278 Minnesota State License#:065381 PM OWNER JAMESWEATHER,ROBI 15 MYRTLEWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWOR1�1 STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested i ance e State Building Code.This permit may be revoked��i any t� e for du use. ' �� C/ t// � ( �� . � /A, t Permitee Signature Date Issue ignature Date ( SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 , �� O,¢��O City of Orono �ac��ce�u�1= '�� er�i��^ P.O.Box 66 � � � � � � �"'� 2750 Kelley Parkway �,In��+use5'A�,,p�te�imnarion'�FcrrmC�mpleted �: rm ar, �' � . Crystal Bay,MN 55323 ° c� ��, - �(9sz>za9-a600 �p�roa�a�y�t2eciu�r�a� CITY OF ORONO—SEWER& WATER/GENERAL PERMIT (*Note:Some pernvts may require approval by the Building Official and/or Public Works Department*) (ALL,PERMII'S- Mav be subiect to further review and mav not be issued when the aaulication is receivedl �F�'�r��.��2��{��: �, �� ;� 1. You may apply for urility pernuts by mail or in person at the City offices. 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut cards will be sent by return mail within 2 business days. 3. Permits are not valid until you receive a permit card. 4. Work must not begin unless the permit card is available on the job site. 5. Urility connection pemuts may be issued to licensed contractors only. 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations. DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without ezpress approval of the Public Works Department. Issuance of a permit does not grant this approval. 7. All work must be done in accordance with State Code requirements. 8. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. . � r . . _ � . T�FE UF:P�1�I�., ..�: , ��h�ek,�t"-.�.�� 1y`�.< � � ❑ Residential(May Require Approval) ❑Commercial(Approval Required) ❑ New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect ❑ Water Availability Connection For Future Hook-Up to Water �� te I��r�er��ia�� . � Site Address: �J� � r� �E�-vDoc� �Cu. �� Owner: 6� $ Mailing Address: �3 ��r�'l�� d City: Gv��-�a zip: 55�'3g � Home Phone: �P�� d � �� Z' Alternate Phone: r�c�r�r.ac�r�i�n��ii:. :, . �� ^/�Ct-rt�PC�- Contractor: �Q.� ��L�1�-1�'!Q C-�-�/ Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: �P��' 7Jt� 0278 Alternate Phone: ' � ❑SAC Charge(2011 Rate=$2,Zso.00> $ aa3D.DC� �d �y �.Ny.� (SAC Charge must accompany all sewer permit applications unless prepaid) �'1d�'� (Orono City Staff can determine if applicable) (If not prepaid,a sewer connection permit will not be issued) �Sewer Connection/Disconnect/Repair($50.00/Per Stub) $ ��•D � Pipe size inches;material Schd 40 air tested; cast iron ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ Pipe size inches;material Schd 40 air tested; copper ❑Water Availability For Future Hook-Up to Water($50.00) $ Water Availabilitv Ezplanation: Contractor installed line to inside of house for future hook-up. This line will be inspected by the Public Works Department. RecLnired Before Water Connection Pemrit is Issued: 1. Issue Water Meter&Horn Permit 2. Any Additional Connecrion Fees Paid(If Applicable) Issue Water Connection Permit: 1. Collect Permit Fee&Issue Water Connection Permit 1. SUBTOTAL of Permit Requested: $ 50. � D ,� 2. STATE SURCHARGE $ 5.00 3. POSTAGE&HANDLIN�i(Only on Mail-In Applications) $ .2tQ6' , • 4. TpTAL PERMIT FEE(Add Lines 1-3 Above) $ �, �. J'r�� t � � /[ �S �s� �3��; ��[��F ��W.}�� # 'i�:"�. ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon completion of ineter installation. The undersigned hereby applies to the City of Orono for issuance of a Utility Pernut, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certi�s that all statemerits m`�ie on this application are,true and correct. ! . Applicant: q �C �-Date: ��(;'�� aOI� :�---- , /% (iYl,e✓I�Ca v� �.L>C. l �.�"•� /i ... � ATE TIME V CITY OF ORONO CALLED IN �/c�I/- INSPECTIO�QO�ICE �`SZ v SCHEDULED �l PERMIT NO. cOMPLETED ADDRESS 5 � � ��o� OWNER �Db/ (� l�P��{pHONE N0.1P/� �� o�2 CONTRACTOR >; DESCRIPTION ��'� � D� `S%j nC �'"- " -_ — � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O � � � � � �v�� 0 � W � Q � z W � W k � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. S White Copyllnspector's File Canary CopylSite Notice la DAj� TIME ` / CITY OF ORONO CALLED IN �� INSPECTION,,LV oT�C,E�"�SCHEDULED � "� � PERMIT NO. a' � COMPLETED ADDRESS �5 /��f� �"��d� OWNER TELEPHONE NO.�Ia d�� D�`"�� CONTRACTOR � � DESCRIPTION �S � � ��" q�-gL �E� � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONT TOR TO ME OU:_YES_NO � COMM . ' � W a J ( � Y d � O � �l � � p-� C �- y l,r� W Q lo� � oF �= � r� n.t � Q.9 K,� � � � ��c�C� S.�e o F � .. � �d� �- �Q�-. ] ,. d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �'�9QRRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice